Compare differences in patient or hospital hospitals urban. Medical search. Frequent questions

How they have fared on patient outcomes during the past decade is unknown. (medindia.net)
Healthcare continues to evolve and advance technologically, playing a crucial role in quality of life, longevity and patient outcomes. (callminer.com)
A growing recognition of the role the patient experience plays in positive health outcomes will continue to drive this trend in the coming years. (callminer.com)
2 ] report their findings on the gender differences in outcomes among ischemic stroke (IS) patients with intracranial atherosclerosis (ICAS), obtained from the Chinese IntraCranial AtheroSclerosis Study (CICAS). (karger.com)
They found no gender differences in outcomes among stroke patients with ICAS in China. (karger.com)
Previous studies have shown gender differences in outcomes among IS patients with ICAS. (karger.com)
For example, a recent prospective study conducted at a single hospital in Turkey showed that female gender was associated with severity and poor outcomes among IS patients with ICAS [ 5 ]. (karger.com)
However, nationwide or multicenter large studies on gender differences in outcomes among symptomatic patients with ICAS have rarely been reported. (karger.com)
The Urban Zen (UZ) Initiative at Beth Israel Medical Center, New York, was a pilot project evaluating the impact of a multifaceted "optimal healing environment" 1 intervention-incorporating yoga therapy, holistic nursing practices, a patient navigator, and a renovated physical environment—on quality of life and cost outcomes for inpatients on a medical oncology floor. (ajmc.com)
Competing-risks regression analysis was used to compare outcomes between groups. (bmj.com)
Conclusions Considering the relatively low cost, greater adoption of hospital-initiated tobacco cessation interventions should be considered to improve patient outcomes and decrease subsequent healthcare usage. (bmj.com)
1 Center for Surgical Outcomes Research, Abigail Wexner Research Institute and Department of Surgery, Nationwide Children's Hospital, Columbus, Ohio. (nih.gov)
The primary outcomes were the Hospital Consumer Assessment of Healthcare Providers and Systems global measures of patient-reported experience and satisfaction, including a patient's overall rating of a hospital and willingness to recommend a hospital. (unboundmedicine.com)
Secondary outcomes included the 7 other Hospital Consumer Assessment of Healthcare Providers and Systems measures encompassing communication ratings, clinical processes ratings, and hospital environment ratings. (unboundmedicine.com)
Scholars@Duke publication: Cost and utilization outcomes of patients receiving hospital-based palliative care consultation. (duke.edu)
Our findings coupled with those indicating better patient and family outcomes with PC suggest both a cost and quality incentive for hospitals to develop PC programs. (duke.edu)
Outcomes of cataract surgery in a rural and urban south Indi. (lww.com)
We further compared outcomes between the rural and urban populations. (lww.com)
High levels of trust in providers may facilitate better patient experiences or outcomes both in the inpatient and outpatient setting. (modernhealthcare.com)
Patient measures of rheumatoid arthritis (RA) disease activity and severity predict outcomes 4 and are included in most composite indices used in clinical trials 5 . (jrheum.org)
However, data regarding differences in trauma outcomes between females and males is severely lacking from low- and middle-income countries. (one.surgery)
The objective of this study was to determine the association between sex and clinical outcomes amongst Indian trauma patients using the Australia-India Trauma Systems Collaboration database. (one.surgery)
Logistic regression assessed association of sex with the primary outcomes of 30-day and 24-hour in-hospital mortality. (one.surgery)
Public reporting on hospital process improvements is linked to better patient outcomes. (jamanetwork.com)
Quality of care and patient outcomes in critical access rural hospitals. (jamanetwork.com)
A growing body of evidence shows that a more engaged patient experiences better health outcomes and lower use of healthcare services. (bmj.com)
Primary care physicians (PCPs) were trained to deliver evidence-based care, and PCP office-based diabetes self-management education improved patient outcomes. (cdc.gov)

The Warfarin-Aspirin Symptomatic Intracranial Disease study, which was performed at 59 medical centers in North America and included 569 patients with symptomatic ICAS, showed that women had a significantly higher risk for IS and for the combined endpoint of stroke and vascular death [ 6 ]. (karger.com)
EMS represents the first stage in a full continuum of emergency care that also includes hospital emergency departments (EDs), trauma systems/centers, inpatient critical care services, and interfacility transport. (nationalacademies.org)
In 2011, the Centers for Medicare & Medicaid Services Hospital Value-Based Purchasing (VBP) program began tying hospital payments to patient-reported experience scores, but whether implementation of this program narrowed differences in scores between safety-net and non-safety-net hospitals is unknown. (unboundmedicine.com)
SETTING: Two urban VA medical centers. (duke.edu)
Primary-level facilities (including community health facilities in urban areas, township health centers, and village clinics in the rural areas) provide preventive and basic medical services, whereas secondary and tertiary hospitals provide specialized care. (jabfm.org)
In 2019, when the Centers for Medicare & Medicaid Services (CMS) drafted their national coverage determination for TAVI reimbursement, the agency had to walk a fine line between maintaining quality and ensuring equitable access to patients in smaller, rural communities. (tctmd.com)
Larger academic medical centers in urban areas might work cooperatively, rather than competitively, to mentor and proctor physicians at smaller, rural hospitals to ensure high-quality care, he suggested. (tctmd.com)
This study identified English-language peer-reviewed research articles describing CCM-based interventions for managing type 1 and type 2 diabetes in US primary care settings (ie, hospital-network outpatient clinics, private practices, and community health centers). (cdc.gov)
The primary-level - Primary Health Care (PHC) - represented by stations, health centers, municipal hospitals, nursing stations and doctors' offices, is the initial point of contact with the health system. (bvsalud.org)
Therefore, the lucrative private sector is confined to major urban centers of the country and is sluggish at the tertiary level, with prices that limit the accessibility of the population. (bvsalud.org)

Under the program, acute-care hospitals are rewarded or penalized depending on the quality of care. (modernhealthcare.com)
Rural acute-care hospitals may be in a better position to ensure quality because they are likely to have a greater familiarity with their patients, the report said. (modernhealthcare.com)
Results The response rate was 42%, with 1457 acute care hospitals completing the survey. (bmj.com)

Rural hospitals provide service to nearly 50 million Americans, and are a critical part of our national healthcare delivery system. (dotmed.com)
According to Virgil Dickson at Modern Healthcare, "rural hospitals on average have done better at avoiding the spread of hospital-acquired conditions and have scored higher in Medicare's value-based purchasing program than their urban counterparts. (dotmed.com)
While the urban-rural healthcare divide is slowly disappearing, some differences continue to persist. (medindia.net)
Recently, there's been an increased focus on delivering quality patient care and improving patient experience throughout the patient journey , from the outpatient clinic to the healthcare call center , digital patient interactions, patient billing , prescription refills, follow-up care, and everything in between. (callminer.com)
Healthcare systems were strained to the max, economic turmoil left many patients with financial insecurity, and government shutdowns and the need for social distancing made it difficult, if not impossible, for many patients to receive care in traditional healthcare settings. (callminer.com)
Keep reading to learn more about the state of the healthcare industry today and the quality of patient care delivery. (callminer.com)
A survey conducted by Accenture found that just one out of three healthcare consumers have never had a negative experience with a healthcare provider, pharmacy, or hospital. (callminer.com)
According to Avtex , 64% of patients say they still prefer human-to-human phone interactions when communicating with their healthcare providers. (callminer.com)
Additionally, 39% of healthcare consumers surveyed said that positive digital interactions have a big impact on the overall patient experience. (callminer.com)
Our objective was to determine whether implementation of a hospital-initiated smoking cessation intervention would reduce mortality and downstream healthcare usage. (bmj.com)
In every jurisdiction, healthcare systems are experiencing the growing burden of chronic diseases and are under pressure to reduce 'avoidable' hospital readmissions. (bmj.com)
Under this broad umbrella term, there is evidence that patient engagement is associated with fewer adverse events, 3 better patient self-management, 4 , 5 fewer diagnostic tests, 6 decreased use of healthcare services 7 and shorter lengths of stay in hospitals. (bmj.com)

There is scant information on Lyme disease patient demographics in England and Wales, and how they interact with the National Health Service (NHS). (biomedcentral.com)
Incidence rates were calculated, and demographics compared to the national population. (biomedcentral.com)
Future investigations into these differences in patient demographics, source/systemic infections and hospital courses may allow clinicians and hospitals to develop a more targeted approach to treating endogenous endophthalmitis based on the type of community from which the patient presents. (reviewofoptometry.com)
We used the reported volume CT dose index stratified by patient demographics and imaging facility characteristics. (ajnr.org)
Information regarding patient demographics, injury type, days spent in the ward after medical clearance for discharge, and hospital invoices were collected and analyzed for orthopaedic patients treated from November 2016 to June 2017. (one.surgery)
SD, Yusuf HR, Richardson LC (2015) Determinants --demographics, clinical and insurance status, preexist- of Venous Thromboembolism among Hospitalizations ing comorbid conditions, and hospital characteristics--for VTE diagnosis among of US Adults: A Multilevel Analysis. (cdc.gov)

The relative proportion of patients presenting to either setting is currently unknown, as is the patient pathway between primary, secondary and tertiary care. (biomedcentral.com)
A mixed-methods study using retrospective medical record review and semi-structured interviews was conducted at a tertiary hospital in Moshi, Tanzania. (one.surgery)
The tertiary level, represented by referral hospitals mono or multipurpose, differentiated and specialized, is the reference level for secondary-level health units 1-3 . (bvsalud.org)

The report didn't identify the reason for the difference, but did note adults living in nonmetropolitan areas have poorer health, higher rates of tobacco use and major chronic conditions and poorer indicators of oral and mental health. (modernhealthcare.com)

In 2010, 1,264 of 4,519 (28 percent) of U.S. hospitals providing acute care services to Medicare beneficiaries and reporting hospital characteristics to the American Hospital Association were designated as CAHs. (medindia.net)
Our aims were to explore the demographic characteristics of Lyme disease patients within the Hospital Episode Statistics (HES) and Patient Episode Database for Wales (PEDW), and to describe patient pathways. (biomedcentral.com)
Differences in patient characteristics, workup, management, and pathology by race/ethnicity, insurance status, median neighborhood income, and urbanicity were evaluated with bivariate and multivariable regression analyses. (nih.gov)
The duration of T&R ED visits varied significantly by admission hour, day of the week, patient volume, patient characteristics, hospital characteristics and area characteristics. (biomedcentral.com)

Conclusions Important differences exist between these two hospitals of Oman. (bmj.com)

Overall, there were lower rates of TAVI in areas with more Medicare and Medicaid dual-eligible patients, lower average median household incomes, and more economic distress. (tctmd.com)

According to Medicare records, the average length of stay at a rural hospital is two days shorter (7.4 days versus 9.5 days) than at urban facilities. (dotmed.com)
However, there are stark differences in maternal mortality rates for Black American women versus Indigenous American, Alaska Native, and White American women. (wikipedia.org)
There have been significant differences between the maternal mortality of white women versus Black women throughout history. (wikipedia.org)
Only 129, or 14% of rural hospitals evaluated under the effort faced a penalty versus 568, or 26% of urban hospitals. (modernhealthcare.com)
Last year 709, or 79%, of rural hospitals evaluated under the hospital readmissions-reduction program were hit with a financial penalty versus 1,902 or 76% of urban hospitals. (modernhealthcare.com)
The volume CT dose index was lower in children's hospitals (median, 26 mGy) versus academic hospitals (median, 32 mGy) and community hospitals (median, 40 mGy). (ajnr.org)
In unadjusted analyses comparing various "late" time thresholds for debridement versus "early" thresholds, there was an association between timing of debridement and surgical site infection (odds ratio [OR] = 1.29, 95% confidence interval [CI] = 1.11 to 1.49, p (one.surgery)
The mean duration of visits at teaching hospitals was substantially longer than at non-teaching hospitals (243.8 versus 175.6 minutes). (biomedcentral.com)

Total costs at discharge are also just 55% of an urban hospital discharge. (dotmed.com)
5 , 6 For example, the English Department of Health introduced a policy in 2011 restricting payments of certain emergency readmissions that occur within 30 days of an initial hospital discharge. (bmj.com)
consequently, thousands of hospitals will have Medicare payments deducted by up to 3% in 2015 if patients with certain conditions (eg, myocardial infarction, heart failure, chronic obstructive pulmonary disease) return to hospital within 30 days of discharge. (bmj.com)
Many patients do not have the financial capacity to pay hospital fees prior to discharge. (one.surgery)
Duration for each visit was computed by taking the difference between admission and discharge times. (biomedcentral.com)

Methods A prospective multicentre cohort study was performed across four urban public hospitals in India April 2016 through February 2018. (one.surgery)
A cross-sectional study was conducted on 1000 infants in the neonatal intensive care unit and outpatient clinics of Fayoum University Hospital and Fayoum General Hospital during August 2017 to April 2018. (who.int)

Additionally, hospitals without a TAVI program cared for more patients "dual eligible" for Medicare and Medicaid, which is a marker of socioeconomic vulnerability, and more patients from economically disadvantaged zip codes as measured by the distressed community index. (tctmd.com)
She noted that the study looked only at Medicare claims, which would account for about 30%-40% patients in an oncology practice, and she speculated that if the study had also included commercial patients, the adoption of immunotherapy would be shown to be even faster and more complete. (medscape.com)

The coastal regions of this country consist of highly developed urban centres, with the interior regions being rural and less developed. (bmj.com)
Methods A prospective trauma registry was launched in two hospitals in Oman: Khoula Hospital, the national referral centre located in Muscat and Nizwa Hospital, a regional centre serving rural communities. (bmj.com)
Rural hospitals are generally smaller than those located in urban areas. (dotmed.com)
On average, a rural hospital is about one-third the size of an urban hospital. (dotmed.com)
For instance, an average rural hospital has about 75 patient beds, where the average urban facility has 250 beds. (dotmed.com)
Interestingly, rural hospitals represent more than half of all hospitals in America. (dotmed.com)
Even with the added survival pressure on rural hospitals, they do have a few advantages over their urban counterparts. (dotmed.com)
Rural hospitals also had fewer postoperative wound infection rates than urban hospitals. (dotmed.com)
Last year only 288, or 34% of rural hospitals participating in the hospital value-based purchasing program, faced financial penalties, compared to 1,040 or 49% of urban hospitals. (dotmed.com)
The rural hospitals that I work in have had the same people performing the housekeeping services, some for decades, and no staff turnover rates that urban facilities experience. (dotmed.com)
In addition, it is not unusual for the housekeeping staff (environmental services, EVS) to actually know the patient or the patient's family in the rural facility. (dotmed.com)
In 1997, the U.S. Congress created the Critical Access Hospital (CAH) program in response to increasing rural hospital closures," according to background information in the article. (medindia.net)
Comparing CAHs with other small, rural hospitals, similar patterns were found. (medindia.net)
Given the substantial challenges that CAHs face, new policy initiatives may be needed to help these hospitals provide care for U.S. residents living in rural areas," the authors conclude. (medindia.net)
2 ] is of clinical importance because CICAS covers a wide geographical area in China and is not restricted only to rural or urban areas. (karger.com)
A recent study identified several differences between endophthalmitis cases presenting in rural and urban hospitals. (reviewofoptometry.com)
Among their findings, bacterial endogenous endophthalmitis was more common in the rural group, and Candida endogenous endophthalmitis was observed more in the urban cohort. (reviewofoptometry.com)
This research effort, which involved data from the 2002-2014 National Inpatient Sample (NIS) Database, sought to investigate US trends in urban and rural cases of endogenous endophthalmitis. (reviewofoptometry.com)
In the NIS Database, urban and rural hospitals are defined based on the hospital county's population statistics. (reviewofoptometry.com)
The researchers identified 8,255 cases of endogenous endophthalmitis, with 6% occurring in rural areas and 94% in urban settings, as might be expected based on population distribution. (reviewofoptometry.com)
The data found that Candida endophthalmitis was observed in 2% of rural cases and 5% of urban cases. (reviewofoptometry.com)
however, they also had lower mortality when compared with their rural counterparts. (reviewofoptometry.com)
In this study, we have demonstrated that there are important differences in cases of endogenous endophthalmitis that present to urban and rural hospitals," the study authors noted in their paper. (reviewofoptometry.com)
Uppuluri A, Zarbin MA, Bhagat N. Trends in endogenous endophthalmitis in rural and urban settings in the United States. (reviewofoptometry.com)
Three thousand nine hundred and twenty-four rural subjects from 27 contiguous villages and 3850 urban subjects from five randomly selected divisions were studied. (lww.com)
Five hundred and twenty-eight (216 males, 312 females, 781 eyes) rural subjects (13.5%, 95% confidence interval (CI) 12.4% to 14.6%) and 406 (197 males, 209 females, 604 eyes) urban subjects (10.5%, 95% CI 9.6-11.5%) had undergone cataract surgery. (lww.com)
In 30% of rural and 16% of urban subjects uncorrected refraction was the cause of visual impairment. (lww.com)
8 - 11 ] The Chennai glaucoma study (CGS) is a population-based cross-sectional study in a rural and an urban south Indian population aged ≥40 years. (lww.com)
Rural hospitals on average have done better at avoiding the spread of hospital-acquired conditions and have scored higher in Medicare's value-based purchasing program than their urban counterparts. (modernhealthcare.com)
Similarly rural hospitals performed well under the hospital-acquired-condition reduction program that aims to prevent conditions like pressure sores and hip fractures after surgery. (modernhealthcare.com)
Rural hospitals are also more likely to do better in care coordination models as they often share a physical space with outpatient and nursing home facilities. (modernhealthcare.com)
In payment models that reward such coordination and place increasing focus on efficiency and collaborative care, rural hospitals may be poised to perform particularly well," the report said. (modernhealthcare.com)
One area in which rural hospitals did not do better compared to urban areas, however, is readmissions . (modernhealthcare.com)
4 In China, farmers in the rural sector with secondary education were trained for 3 to 6 months by urban physicians to meet the health needs of the sizable number of rural inhabitants, accounting for 80% of the whole population during the Cultural Revolution. (jabfm.org)
Li P, Schneider JE, Ward MM. Converting to critical access status: how does it affect rural hospitals' financial performance? (jamanetwork.com)
Others have shown that in addition to race and ethnicity, people living in rural areas face challenges accessing hospitals with TAVI programs. (tctmd.com)
Highlighting the inequitable access to TAVI, session moderator David Cox, MD (Cardiovascular Associates/Brookwood Baptist Hospital, Birmingham, AL), pointed to the CMS volume requirements and wondered if another model might be needed for smaller, rural communities. (tctmd.com)
Elaborating on the latter point during a discussion of the results, study coauthor Jay S. Giri, MD, MPH, also from the Hospital of the University of Pennsylvania, observed that although the data showed rural areas are left behind, not every part of an urban area acts like the area more generally. (medscape.com)
Believe it or not, in some urban areas where there clearly is access - there might even be a dozen TAVR programs within a 25 mile radius - do some of those areas still act like rural areas that don't have access? (medscape.com)
This study shows that for patients that present to rural hospitals or hospitals without routine access to advanced cardiology interventions with heart attacks, they are less likely to have angiography (an invasive testy to determine whether the arteries that supply the heart are blocked or narrowed) compared to urban hospitals where this was readily available. (nzma.org.nz)
However, there was no significant difference in the chances of dying between the three groups of hospitals (rural hospitals, smaller urban hospitals or urban hospitals with advanced cardiology intervention) either at 30-days after the heart attack. (nzma.org.nz)
There was a small increase in the chances of dying after 2-years for patients that presented to rural hospitals, the reasons for this are unclear and not able to be answered by this study. (nzma.org.nz)
Compared to urban practices, rural practices adopted immunotherapy at a much slower rate, although they caught up over time. (medscape.com)
The data set included 71,659 episodes at 1732 oncology practices, which were evaluated for location (rural vs urban), affiliation type (academic system, nonacademic system, independent), and size (1 to 5 physicians vs 6 or more physicians). (medscape.com)
Adoption of immunotherapy in rural practices was 11 percentage points lower than in urban practices in the years after FDA approval. (medscape.com)
Differences were largest immediately after FDA approval, with rural practices catching up to urban counterparts over time (eg, 13% gain 2 years after approval). (medscape.com)
This finding is consistent with other research reporting lower adoption of high-cost technologies at rural or small hospitals. (medscape.com)
Due to legal and ethical were treated in urban hospitals were associated with a 14%-15% increased likelihood of compliance and procedures for data disclosure and having a VTE diagnosis than those treated in rural hospitals. (cdc.gov)

These hospitals are at high risk of falling behind with respect to quality improvement, owing to their limited resources and vulnerable patient populations. (medindia.net)
Variations in risk factors among populations from different countries may explain differences in the ICAS incidence. (karger.com)
Safety-net hospitals, which have limited financial resources and care for disadvantaged populations, have lower performance on measures of patient experience than non-safety-net hospitals. (unboundmedicine.com)
The Chinese and urban populations showed significantly higher use of the private health-care sector with an adjusted odds ratio of 4.8 [95% confidence interval (CI): 4.6-5.1] and 2.3 (95% CI: 2.2-2.4), respectively. (who.int)

Our findings regarding quality of life and patient experience, which have been published elsewhere, 2 showed significant decreases in anxiety, fatigue, and depression in the intervention group compared with controls, as well as improved energy and decreased pain. (ajmc.com)
The findings, said lead investigator Ashwin Nathan, MD (Hospital of the University of Pennsylvania, Philadelphia), highlight the disparities in access to new advances in cardiovascular medicine. (tctmd.com)
Summary Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption. (bmj.com)
This report provides preliminary findings from the ongoing investigation of possible nosocomial transmission of multidrug-resistant TB (MDR-TB) at the hospital. (cdc.gov)

Additionally, significant differences in hospital transport times highlight the need for improved pre-hospital care. (bmj.com)
Karen E. Joynt, M.D., M.P.H., of the Harvard School of Public Health, Boston, and colleagues conducted a study to evaluate trends in mortality for patients receiving care at CAHs and compared these trends with those for patients receiving care at non-CAHs. (medindia.net)
Elective procedures were canceled, and many patients delayed seeking care for what seemed like a minor health concern at the time. (callminer.com)
We rounded up 101 patient care statistics to gain deeper insight into the lasting impacts of COVID-19 and the quality of patient care today across a range of categories. (callminer.com)
Within hospital admission data ( n = 2066), most cases were either referred from primary care (28.8%, n = 596) or admitted via accident and emergency (A&E) (29.5%, n = 610). (biomedcentral.com)
Patients may present with Lyme disease in either a primary care or hospital setting, with an unknown proportion receiving confirmatory laboratory diagnosis. (biomedcentral.com)
Since 1989 Hospital Episode Statistics (HES) have recorded every 'episode' of admitted patient care (APC) delivered in National Health Service (NHS) hospitals in England [ 16 ]. (biomedcentral.com)
An approach including yoga, holistic nursing, and a 'healing environment' can decrease medication use, resulting in substantial cost savings in care of inpatient oncology patients. (ajmc.com)
The Urban Zen Initiative incorporated yoga therapy, holistic nursing techniques, and a "healing environment" into routine inpatient oncology care. (ajmc.com)
An integrative medicine approach including yoga therapy, holistic nursing, and a healing environment in the inpatient setting can decrease use of medications, resulting in substantial cost savings for hospitals in the care of oncology patients. (ajmc.com)
An integrative medicine approach incorporating yoga, holistic nursing, and a "healing environment" added to the inpatient care of oncology patients can significantly reduce hospital costs. (ajmc.com)
Through these encounters, prehospital EMS care is delivered directly to patients, in the locations where help is needed. (nationalacademies.org)
Moreover, with greater emphasis now being placed on bystander care and prearrival instructions provided by dispatchers, care to patients can be initiated even more rapidly. (nationalacademies.org)
Methods A 2-group effectiveness study was completed comparing patients who received the 'Ottawa Model' for Smoking Cessation intervention (n=726) to usual care controls (n=641). (bmj.com)
ABSTRACT This descriptive exploratory study was conducted to describe the health care needs and identify unmet needs of the caregivers of cancer patients in Jordan. (who.int)
The education and support needs of caregivers need to be considered when designing care plans for cancer patients. (who.int)
Predictors included patient age, principal diagnosis, comorbidity, whether patient stay was medical or surgical, site and whether the patient was seen by the palliative care consultation team. (duke.edu)
These include taking irrational hospital expansion under strict control through enhancing the government's accountability for health care industry regulation, strategies to recruit and retain a quality primary care workforce, empowering PCPs as gatekeepers in the system, timely evaluation of the impact of health reforms on primary care, and modifying damaging policies. (jabfm.org)
this led to the proliferation of specialized care in hospitals. (jabfm.org)
12 Medical practices became profit-driven entities, and hospitals competed for patients with primary care facilities. (jabfm.org)
Senior author Jay Giri, MD (Hospital of the University of Pennsylvania), who spoke after Nathan's presentation, told the session's audience that their results show "market forces overwhelmingly seemed to drive the development of new TAVR programs over access to care considerations. (tctmd.com)
For example, they plan to delve into the 25 largest urban areas to determine if there are disparities in access to care based on socioeconomic status and race. (tctmd.com)
The term 'patient engagement' encompasses a number of related concepts, including 'patient-centred care' 1 and 'shared decision-making', 2 all of which build on the idea of involving patients as partners in their care. (bmj.com)
There is also evidence that patients benefit when family members play an active part in the patient's care. (bmj.com)
10 They play an especially important role when patients are not physically or cognitively able to participate in their own care, and family members become the surrogate decision-makers. (bmj.com)
one study reported that longer visiting hours in the intensive care unit were linked to a reduction in cardiovascular complications, possibly through patients' reduced anxiety and better hormonal profiles. (bmj.com)
Future steps, he said, are to identify the role of race and ethnicity in inequitable access to TAVR, identify system- and patient-level barriers to access, and to develop and test solutions to address inequitable care. (medscape.com)
Do we just not give enough education to patients on how to access care? (medscape.com)
Length of stay is an important indicator of quality of care in Emergency Departments (ED). This study explores the duration of patients' visits to the ED for which they are treated and released (T&R). (biomedcentral.com)
This also illustrates the fundamental relationship between crowding (waiting lines) and delays in patient care [ 5 ]. (biomedcentral.com)
Certain census variables (e.g., the number of admissions from the ED per day) and the number of intensive care and cardiac telemetry units affect ED length of stay across many hospital settings [ 9 ]. (biomedcentral.com)
The moral problems posed by ED boarding and resultant crowding have a variety of undesirable consequences such as increased patient waiting times, decreased ability to protect patient privacy and confidentiality, impaired evaluation and treatment, and difficulties in delivering person-centered care [ 13 ]. (biomedcentral.com)
From January through April 1990, tuberculin skin-test conversions* occurred among eight health-care workers (HCWs) on a specialized ward for human immuno deficiency virus (HIV)-infected patients at a large urban hospital in Florida. (cdc.gov)
However, internal closure, the construction of the separation wall, and the permit system continue to affect patients' access to various levels of health care in the West Bank. (who.int)
Disease registries and electronic medical records were used to establish patient-centered goals, monitor patient progress, and identify lapses in care. (cdc.gov)
The sum of these CCM component parts are purported to create more effective health care delivery systems that institute mechanisms for decision support, link health care systems to community resources and policies, deliver comprehensive self-management support services for patients, and operate and manage patient-centered clinical information systems. (cdc.gov)
Dengue patients in Malaysia have the choice to seek care from either public or private sector providers. (who.int)
Both public and private health facilities bear significant responsibilities in delivering health-care services to dengue patients. (who.int)
9 The public incidence doubled from 146 per 100 000 population in health-care system is mainly financed through taxation a Clinical Research Centre, Dermatology Block, Hospital Kuala Lumpur, Jalan Pahang, Kuala Lumpur, Malaysia. (who.int)
Pain assessment and knowledge of drug pharmacodynamics and pharmacokinetics in the paediatric patient, is a prerequisite for optimal care. (bvsalud.org)

A retrospective study of females aged 10-21 y who underwent surgery for a breast lesion across eleven pediatric hospitals from 2011 to 2016 was performed. (nih.gov)
Radiation dose indices for single-phase noncontrast head CT examinations in patients 18 years of age and younger were retrospectively reviewed between July 2011 and June 2016 using the American College of Radiology CT Dose Index Registry. (ajnr.org)

Objective We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014. (bmj.com)

Additionally, they would like to identify some of the system- and patient-level barriers to TAVI access. (tctmd.com)

Methods: A prospective, contextual, descriptive study design using a data collection sheet was used on paediatric patients presenting for tonsillectomy. (bvsalud.org)

Median neighborhood income was $49,974, and 88% of patients resided in a metropolitan area. (nih.gov)
Median dose indices and practice variations at pediatric facilities were both lower compared with other practice settings. (ajnr.org)

Just because of the many COVID patient's many nurses and other hospitals workers have been working for overtime hours. (caminadporfe.com)

US Department of Housing and Urban Development (HUD) statistics indicate that on a single night in 2019, around 567,715 persons experienced homelessness. (psychiatrist.com)
To evaluate whether the VBP program's implementation was associated with changes in measures of patient-reported experience at safety-net hospitals compared with non-safety-net hospitals between 2008 and 2019. (unboundmedicine.com)
This cohort study evaluated 2266 US hospitals that participated in the VBP program between 2008 and 2019. (unboundmedicine.com)
Piecewise linear mixed regression models were used to assess annual trends in performance on each patient experience measure by hospital safety-net status before (July 1, 2007-June 30, 2011) and after (July 1, 2011-June 30, 2019) implementation of the VBP program. (unboundmedicine.com)
Safety-net hospitals consistently had lower patient experience scores than non-safety-net hospitals across all measures from 2008 to 2019. (unboundmedicine.com)

To compare the incidence of inpatient psychiatric admissions and evaluate the prevalence of psychiatric disorders among homeless individuals. (psychiatrist.com)

The secondary or intermediate level, represented by general hospitals, is the reference level for first-level units. (bvsalud.org)

The researchers found that there were differences in trends in 30-day mortality rates over time between CAHs and non-CAHs for the 3 conditions examined. (medindia.net)
However, between 2002 and 2010, mortality rates increased at CAHs at a rate of 0.1 percent per year, whereas at non-CAHs they decreased 0.2 percent per year, for a difference in change in mortality of 0.3 percent per year. (medindia.net)
The researchers note that although CAHs had higher mortality rates by 2010 for each of the conditions examined, the absolute difference was only 1.8 percent. (medindia.net)
City-dwellers had longer hospital stays but lower mortality rates, and were more likely to undergo vitrectomy. (reviewofoptometry.com)
Relationship between Medicare's hospital compare performance measures and mortality rates. (jamanetwork.com)

Between October 2007 and June 2009, the authors used the results of a large prospective cohort study in 22 general hospitals and collected information from 1,335 IS patients with ICAS. (karger.com)
This cohort study of 2266 US hospitals found that the VBP program was not associated with improved patient experience at safety-net hospitals vs non-safety-net hospitals during an 8-year period. (unboundmedicine.com)

Practices with six or more physicians had higher adoption than small practices, especially in urban areas. (medscape.com)
Smaller practices were also 27 percentage points less likely to adopt immunotherapy after FDA approval, with smaller differences later in the study period. (medscape.com)

Noting that there is a greater tendency of private hospitals operating in the regulatory model for market mechanisms, it is expected that the quality indicators that serve as a reference for monitoring the health management are more critical in public hospitals. (bvsalud.org)

All patients who were admitted with a history of trauma between October 2014 and April 2015 were included. (bmj.com)
In areas where trauma systems have developed, EMS and trauma providers are interdependent, working closely within an established protocol to help ensure that patients are transported to the most appropriate facility as quickly as possible. (nationalacademies.org)
Background Studies from high income countries suggest improved survival for females as compared to males following trauma. (one.surgery)
Information was obtained from clinical notes and surgical records for each patient using a standardized data collection form that was specifically developed to investigate the epidemiologic features of maxillofacial trauma. (bvsalud.org)

While providers attempt to catch up, they're also coping with a surge of patients who delayed treatment and are now facing significant health challenges as a result. (callminer.com)
And if the health workers could be having the daily appointment, they are forced to cancel them to attend to the COVID patients but see this product . (caminadporfe.com)
Subjects completed 2 versions of patient global assessments of disease activity (PTGA), using standard terminology from the Multi-Dimensional Health Assessment Questionnaire (MDHAQ) and the 28-joint count Disease Activity Score 28 (DAS28). (jrheum.org)
Health literacy was independently associated with the extent of discrepancy between PTGA and MDGA in English-speaking patients with RA at an urban clinic. (jrheum.org)
As minority patients are more likely to be recruited for research trials 3 , understanding the influence of health literacy on disease assessment is critical. (jrheum.org)
Specifically, the effect of limited health literacy on patient assessment of RA disease activity and discordance with provider [physician] assessment has not been investigated. (jrheum.org)
We hypothesized that patients with RA in an urban medical system demonstrate low levels of health literacy. (jrheum.org)
We further hypothesized that patients with RA who have low levels of health literacy assess their disease as more active and have a greater discrepancy with the provider assessment than patients with adequate health literacy. (jrheum.org)
This hypothesis is based on numerous studies showing that patients with limited health-related literacy more often report poorer health compared to persons with adequate health literacy 5 , 10 - 14 . (jrheum.org)
We used a cross-sectional study design to investigate the effect of health literacy on differences in patient and provider global health assessments of RA activity. (jrheum.org)
The subjects were recruited on the day of a patient visit to the Denver Health rheumatology clinic in Denver, Colorado, from June 2008 to March 2009. (jrheum.org)
The Denver Health and Hospital Authority is an urban "safety net" system that serves 150,000 patients annually, of which 78% are minorities and 50% do not have health insurance 15 . (jrheum.org)
This is really about the market forces at the level of hospitals and health systems. (medscape.com)
Non-attendance to appointments are a common problem for all medical specialist clinics including ophthalmology services, with widespread implications to the patients and the health system. (nzma.org.nz)
The investigation is being conducted by the hospital, the local health department, the Florida Department of Health and Rehabilitative Services, and CDC. (cdc.gov)
This study aims to analyse the pattern of health facility use among dengue patients to provide input for the ongoing policy discussion regarding public-private integration. (who.int)
We analyzed 142 patients of a public and a private institutions in Angola in a structured interview on health indicators. (bvsalud.org)
These accidents increase dramatically the health costs involved in treatment and rehabilitation of the injured patients, and have interrupted the life of thousands of people, especially in the economically active age range (adolescents and young adults) 1 . (bvsalud.org)

A case of MDR-TB was defined as a positive culture for M. tuberculosis in any patient at the hospital from January 1, 1988, through January 31, 1990, whose clinical course was consistent with TB and whose isolate was resistant to at least isoniazid (INH) and rifampin. (cdc.gov)

Further analysis was conducted by hospital of admission. (bmj.com)
17 years old, and recruited during admission to 1 of 14 participating hospitals in Ontario, Canada. (bmj.com)
Bivariate analyses compared admission physiological parameters and mechanism of injury. (one.surgery)

I've spent many hours pondering the more obvious challenges, too - poor infection control, lack of patient education, the disjunction between TB and HIV services, and little understanding of the local disease epidemiology. (samj.org.za)
A second case-control study compared case-patients with randomly selected patients at the hospital who had both HIV infection and TB with drug-susceptible M. tuberculosis isolates. (cdc.gov)
Infection-control policy on the HIV ward required that patients with any pulmonary symptoms and/or abnormal chest radiographs be routinely placed in TB isolation (AFB isolation) until TB was excluded or until they had been on anti-TB therapy for at least 7 days. (cdc.gov)

You are likely to find community hospitals salaries not changing because of the pandemic. (caminadporfe.com)

To-date little data has been generated on the regional differences in injury scale and case mix. (bmj.com)
Chromosomal anomalies are responsible for most mal- be related to regional differences in maternal risk factors, formations that occur due to genetic factors. (who.int)

A baseline sample of inpatient oncology patients at Beth Israel Medical Center admitted to the medical oncology unit before implementation of the Urban Zen Initiative were compared with patients admitted after the Urban Zen Initiative was in place. (ajmc.com)
Because implementation of this type of intervention in the inpatient setting does require potentially substantial initial investment by the hospital, and because maintaining these types of services does entail additional ongoing cost, it is critical to generate data regarding the potential cost savings that can result from this type of approach. (ajmc.com)

646 hospital bed-days were spent on these 72 patients when they no longer clinically required hospitalization. (one.surgery)

Understanding these differences will allow for effective injury-prevention policies and targeted interventions. (bmj.com)

RESULTS: PC patients were 42 percentage points (95% CI, -56% [corrected] to -31%) less likely to be admitted to ICU. (duke.edu)

Inequities in the initial growth of transcatheter aortic valve replacement (TAVR) programs in American hospitals has led to less use of the transformative procedure in poorer communities, a new cross-sectional study suggests. (medscape.com)

As someone who spends a great deal of time in both types of hospitals, there is a significant difference in how patient areas are cleaned. (dotmed.com)
There was a bimodal age distribution, patients were predominantly female, white and from areas of low deprivation. (biomedcentral.com)
While there are many glaring exceptions, first responders in urban and suburban areas are generally able to arrive on scene within minutes of notification, with ambulance crews close behind. (nationalacademies.org)
They came not only from nearby villages but also from urban areas and neighboring states as well. (jimshospital.org)
In urban areas, that type of consolidation may be seen as anti-competitive, the CMS said. (modernhealthcare.com)
Presenting the results of their study at the Society for Cardiovascular Angiography and Interventions (SCAI) 2021 Scientific Sessions , Nathan said they also observed significant socioeconomic disparities in TAVI access, noting that hospitals adopting programs tended to be located in areas with more-affluent patients. (tctmd.com)
50,000 residents) and 53% were started in areas with pre-existing TAVR programs, "thereby increasing the number of programs but not necessarily increasing the geographic availability of the procedure," said study author Ashwin Nathan, MD, Hospital of the University of Pennsylvania, Philadelphia. (medscape.com)
As a result, they're delving into the 25 largest urban areas and trying to disaggregate, based on both socioeconomic status and race within the area, whether inequities exist, he said. (medscape.com)
Session comoderator Steven Yakubov, MD, MidWest Cardiology Research Foundation in Columbus, Ohio, said the results show TAVR programs tend to be developed in well-served areas but asked whether some of the responsibility falls on patients to seek medical attention. (medscape.com)

These patterns were similar for the global measure that assessed whether patients would definitely recommend a hospital. (unboundmedicine.com)

We found a significant decrease in use of antiemetic, anxiolytic, and hypnotic medication costs as well as a decrease in total medication costs in the Urban Zen sample compared with the baseline group. (ajmc.com)
Significant cost savings were realized on as-needed medications including antiemetics and anxiolytics in intervention patients compared with controls. (ajmc.com)
We found no significant differences by race/ethnicity, insurance status, household income, or urbanicity in the time to surgery after the initial imaging study. (nih.gov)
Numerous studies report that significant discordance exists between patient and provider [physician] measures of rheumatoid arthritis (RA). (jrheum.org)
The S-TOFHLA and REALM both were associated with the absolute difference between the MDGA and PTGA by linear regression, and results remained statistically significant in multivariate analysis. (jrheum.org)
There were no statistically significant differences between case- and control-patients in sex, age, race, or HIV transmission category. (cdc.gov)

Editorial: Are Mortality Differences Detected by Administrative Data Reliable and Actionable? (medindia.net)
Data from 1st January 1998 to 31st December 2015 was retrieved from the two administrative hospital datasets (HES and PEDW), based on patients coded with Lyme disease. (biomedcentral.com)
These data can be used to inform future investigations into Lyme disease burden, and patient management within the NHS. (biomedcentral.com)
Patient Episode Database for Wales (PEDW) is a central administrative database that collects admissions data from NHS hospitals in Wales [ 17 , 18 ]. (biomedcentral.com)
We had complete cost data on 85 patients in our baseline group and 72 in our intervention group. (ajmc.com)
Data Use Agreements (http://www.hcup-us.ahrq.gov/ total variation in VTE diagnosis occurred between hospitals. (cdc.gov)
Data was collected from patients during a 10-year period (1999-2009). (bvsalud.org)
The data recorded only patients sustaining maxillofacial injuries after motorcycle accidents. (bvsalud.org)

As a result, wealthy, and more privileged patients have more access to TAVR just by the virtue of the hospitals that serve them," he said in a press conference. (tctmd.com)
Wealthy, more privileged patients had more access to TAVR by virtue of the hospitals that serve them," Nathan said. (medscape.com)

Future nationwide investigations focused on gender differences are needed in many countries for comparisons with the study by Pu et al. (karger.com)

Among hospitalizations of adults, age, sex, race or ethnicity, total days of hospital stay, sta- by anyone for any lawful purpose. (cdc.gov)

2 ]. The difference may be not only due to the study design but also due to the background of the study population. (karger.com)
The study included a total of 614,390 homeless patients (mean age = 46.1 years, 71.9% male). (psychiatrist.com)
No differences in time to surgery from the initial imaging study, size of the lesion, or pathology were observed on multivariable analysis. (nih.gov)
We recruited English-speaking adult patients with RA for this cross-sectional study. (jrheum.org)
We recruited subjects at the end of their rheumatology clinic visits by first providing patients with a verbal description of the study prior to the use of any written materials. (jrheum.org)
This study aims to characterize the impact of this policy on patients and hospital systems in resource-limited settings. (one.surgery)
for example, one study found that patient-centred communication was associated with longer visit length. (bmj.com)
The location and size of an oncology practice may impact whether or not patients have access to the latest development in cancer treatment, including immunotherapy, a nationwide study suggests. (medscape.com)
To identify risk factors for MDR-TB, a case-control study was conducted by comparing case-patients with randomly selected TB patients at the hospital with drug-susceptible M. tuberculosis isolates. (cdc.gov)
This study found that case-patients were more likely to have had opportunistic infections (e.g. (cdc.gov)
Results: Eighty-five patients aged three to 12 years of age, with ASA grading I or II, were enrolled in the study. (bvsalud.org)
This 10-year retrospectively study was undertaken by the Graduate Oral and Maxillofacial Surgery Division, University of Campinas - UNICAMP at 7 hospitals located in the cities of Piracicaba, Limeira and Rio Claro, São Paulo state. (bvsalud.org)

Approximately 22% of cases at Nizwa reached the hospital in less than 30 minutes since time of injury compared to less than 5% in Muscat. (bmj.com)
The waiting time to meet the doctors were reduced in 2015-16 to 23.9% patients waiting more than 90 minutes on an average to see their doctors as compared to 55.84% patients in 2013-2014. (jimshospital.org)
Many have been thinking that only specialist matters in the hospitals just because they are entitled to high salaries but at this time of the pandemic every hospital worker will matter. (caminadporfe.com)
5 , 6 In the past 2 decades, there has been an increase in the use of CT scans in pediatric patients in emergency departments, which includes both first-time and repeat head CT scans. (ajnr.org)
346 of the 867 orthopaedic patients (39.9%) treated during this time period were found to have spent additional days in the hospital due to their inability to pay their hospital bill. (one.surgery)
During that time, 554 hospitals developed new TAVI programs. (tctmd.com)
We found a substantial difference in mean duration of ED visits (over 90 minutes) between Mondays and other weekdays during the transition time from the evening of the day before to the early morning hours. (biomedcentral.com)
Among the thoughtful measures related to duration in the ED that are of interest to policymakers and providers are door to diagnostic time, door to treatment time (including the provision of pain medicine for certain conditions), ED arrival to ED departure time, and decision to admit to ED departure time for patients that are admitted. (biomedcentral.com)
Increasing numbers of low-complexity patients do not significantly lengthen the waiting time or ED LOS for higher complexity patients [ 8 ]. (biomedcentral.com)

Increased LOS may mean that patients wait longer to see ED physicians and to obtain critical treatments and test results [ 3 ]. (biomedcentral.com)

Given the large volume of admissions, with about 20 randomized hospitals, a follow-up of about a year should suffice to obtain conclusive answers about specific tested interventions. (medindia.net)

According to research conducted by McKinsey & Company , wellness prioritization increased for 48.2% of consumers surveyed in 2021 compared to 2-3 years prior. (callminer.com)

We found no difference in length of stay between the 2 groups. (ajmc.com)
For example, Montgomery et al found that a brief hypnosis intervention produced a substantial cost savings in patients undergoing excisional breast biopsy. (ajmc.com)
We found a wide range of scores across hospitals. (bmj.com)

Report to the Congress: Payment Basics: Critical Access Hospitals Payment System. (jamanetwork.com)
Treatment gaps based on access to TAVI have been documented previously , with studies showing that minority groups are underrepresented compared with white patients. (tctmd.com)
The number of patients unable to access treatment outside the Gaza Strip increased during the second half of 2007. (who.int)

Whole exome sequencing of patients who experienced severe influenza reveals several genes, including scaffold protein AHNAK, with predicted loss-of-function variants that are also identified in our proteomic analyses. (cdc.gov)

For hospitals to cope financially with this burden, they often mandate that patients pay their entire hospital bill before leaving the hospital. (one.surgery)

Diseases15

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment55

Psychiatry and Psychology1

Phenomena and Processes5

Disciplines and Occupations6

Anthropology, Education, Sociology and Social Phenomena7

Technology, Industry, Agriculture4

Humanities1

Information Science14

Named Groups7

Health Care186

Geographicals26

Outcomes27

Centers10

Acute care hospitals3

Healthcare12

Demographics6

Tertiary3

Living in nonmetropolitan areas1

Characteristics4

Conclusions1

Lower average median household incomes1

Versus8

Discharge5

20182

Medicare2

Rural48

Populations4

Findings4

Care40

20162

Objective1

Additionally1

Methods1

Median2

Patient's1

20195

Evaluate1

Secondary1

Mortality rates5

Cohort study2

Practices2

Public hospitals1

Trauma4

Health18

Clinical1

Admission3

Infection3

Community hospitals1

Regional differences2

Implementation2

Hospitalization1

Targeted interventions1

Percentage1

Poorer1

Areas9

Patterns1

Significant6

Data8

TAVR2

Investigations1

Ethnicity1

Study12

Time9

Physicians1

Admissions1

20211

Found3

Access3

Analyses1

Financially1